Which procedure/implant would bring down my nipples? (photo)

Based on this photo, it seems that you have very heavy breasts with poor support (loose vs. dense breast tissue). As a result, patients like you have a tendency to develop sagging of the lower pole due to gravity. Although you may find plastic surgeons who claim that placing a mash in lower pole would significantly improve this condition, I would recommend moderate breast reduction (to diminish amount of breast tissue) followed with placement of implants. This means that tissue that is removed with breast reduction should be replaced with implant. This would, in our experience, provide longer lasting result but still maintaining the size you like. Smooth, round implants, saline or gel, would be my choice. Lifting inframammay fold in the course of reduction/lift would place implants and breast tissue underneath the niples and correct current impression that nipples are too high. Hope thish elps. Good luck.

Your nipples are actually not too high, but your breasts are sagging down. The breasts can be lifted back up in place and your inferior base can be tightened. Don't go larger because more weight will make this happen even faster. You need to go smaller.

Unfortunately, your past 2 breast surgeries weren't really breast lifts but were areola lifts. As you can see, your areolas are high and the breasts are still low. The technique I recommend is The Bellesoma Method. This will reshape your breast tissue creating upper pole fullness without implants, elevate them higher on the chest wall and more medial to increase your cleavage. Vertical scars are avoided, nipple sensation (in 95%) and the ability to breast feed are maintained if not injured during your previous surgery. Later, fat transfers can be performed if additional volume is desired.

Best Wishes,

Gary Horndeski, M.D.